Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Pessary disposable any type
Low
$0
Average
$335
Median
$103
High
$1.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
15 payers; the 90th percentile is 65.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 53 | $20 | $22 | $6 | 27% | — | $0 – $38 |
| 2 | Bcbs Tx fee schedule · outpatient | 30 | $17 | $18 | $6 | 31% | — | $13 – $65 |
| 3 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 4 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 5 | Molina facility · case rate · outpatient · +2 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 6 | UnitedHealthcare facility · case rate · outpatient · +3 other terms | 15 | $16 | $17 | $4 | 23% | — | $11 – $27 |
| 7 | Optum facility · case rate · outpatient | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 8 | Cigna professional · fee schedule · outpatient · +3 other terms | 8 | $26 | $26 | — | — | — | $26 – $26 |
| 9 | Aetna percent of total billed charges · bothfrom % of charges · +2 other terms | 5 | $117 | $116 | $15 | 13% | — | $87 – $131 |
| 10 | Bcbs Id percent of total billed charges · bothfrom % of charges | 5 | $118 | $119 | $1 | 1% | — | $118 – $121 |
| 11 | First Health percent of total billed charges · bothfrom % of charges | 5 | $124 | $123 | $8 | 7% | — | $114 – $134 |
| 12 | Regence percent of total billed charges · outpatientfrom % of charges · +1 other terms | 3 | $109 | $109 | $3 | 2% | — | $105 – $110 |
| 13 | Humana facility · other · outpatient · +1 other terms | 2 | $23 | $23 | $3 | 15% | — | $19 – $26 |
| 14 | Bcbs La fee schedule · outpatient · +1 other terms | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | MultiPlan percent of total billed charges · outpatientfrom % of charges · +1 other terms | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
← Hospitals reporting HCPCS A4564 · Snapshot 20261113T090226Z-3ce6c0b8